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SHELBY FLEETWOOD LCSW
NPI 1568301505
Social Worker - Clinical in Bedford, IN

Active since March 26, 2026PECOS Enrolled
629 LINCOLN AVE, BEDFORD, IN 47421(812) 675-4470(812) 675-4469 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About Shelby Fleetwood Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY FLEETWOOD LCSW (NPI 1568301505) is an individual clinical provider in Bedford, Indiana, licensed in Indiana (33011952A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568301505
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY FLEETWOODCredential: LCSW
Location Address629 LINCOLN AVEBedford, IN 47421-2142
Mailing AddressPo Box 270Paoli, IN 47454-0270 · (812) 723-3944 · Fax (812) 723-7989
Phone(812) 675-4470
Fax(812) 675-4469
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 26, 2026
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1568301505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 33011952A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
629 LINCOLN AVE, Bedford, IN 47421
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Fleetwood Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638647100
PECOS Enrollment IDI20260504007218
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Fleetwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Indiana Community Health Care, Inc
Same address
Federally Qualified Health Center (FQHC)
629 LINCOLN AVE
Bedford, IN 47421
  • Reassigned Medicare billing, Indiana enrollment
  • 35 clinicians in this Medicare group
NPI 1407566631 (812) 675-4470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TYLER LEE WHITE FNP-C
Nurse Practitioner (Family)
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
TIMOTHY O'ROURKE
Pharmacist
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 277-1702
MRS. AMANDA SUE BOWMAN NP-C
Nurse Practitioner (Family)
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
DR. KATHERINE STACHOWICZ DO
Family Medicine
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
DR. NANCY S STIRLING D.O
Family Medicine
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
MS. TRICIA JAYNE SPOONMORE FNP-C
Nurse Practitioner (Family)
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470
LORI D DAY NP
Nurse Practitioner (Family)
629 LINCOLN AVE
BEDFORD, IN 47421
Lawrence County (812) 675-4470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Fleetwood's NPI number?

The NPI number for Shelby Fleetwood is 1568301505. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Shelby Fleetwood located?

Shelby Fleetwood practices at 629 Lincoln Ave, Bedford, IN 47421. The listed phone number is (812) 675-4470.

What is Shelby Fleetwood's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelby Fleetwood enrolled in Medicare?

Yes. Shelby Fleetwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Fleetwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Fleetwood reassigns Medicare benefits to Southern Indiana Community Health Care, Inc (Bedford, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Fleetwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Fleetwood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shelby Fleetwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Fleetwood was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.